Purpose: This survey aimed to identify cough etiquette knowledge and practice level among university students. Methods: 190 study subject were recruited from a university located in C city of Korea and data were collected utilizing self-reported questionnaires to evaluate cough etiquette knowledge and practice levels. Results: The score of cough etiquette knowledge was 7.38 out of 12 and the correct answer rate was 61.5%. The respondents showed the highest right answer rate (85.3%) on 'cover with a paper tissue or a handkerchief while coughing' and lowest (20.7%) on 'cover with hand while coughing'. Practice level score was 27.28 out of 48. Among those items of practice, 'wearing a mask while coughing' was the lowest (1.40/48) level of practice. And the correlation between knowledge and practice was not significant. Conclusion: Cough etiquette knowledge and practice level was revealed to be rather low among university students. Education and social marketing are needed to be developed to encourage the practice level of cough etiquette followed by better droplet infection control and health promotion.
Center for Disease Control and Prevention. National Center for Immunization and Respiratory Diseases. Everyday preventive actions that can help fight germs, like flu [Internet]. Atlanta: Center of Disease Control; 2013 [cited 2014 Nov 1]. Available from: http://www.cdc.gov/flu/pdf/freeresources/updated/everyday_preventive.pdf.
Jung SY. How to prevent transmission of infectious agents in healthcare settings. Hanyang Medical Reviews. 2011;31(3):190-199.
Bourouiba L, Dehandschoewercker E, Bush JW. Violent expiratory events: On coughing and sneezing. Journal of Fluid Mechanics. 2014;745:537-563.
Choi JG. Spatio-temporal analysis of initial phase of A(H1N1) pandemic 2009 in Korea [dissertation]. Seoul: Hanyang university; 2014. p.1-78.
Lee M, Park Y. Hand washing projects for preventing infectious diseases. Public Health Weekly Report. KCDC 2014;7(13):268-277.
Ministry of Health and Welfare Press Release. Current status of MERS cases in Republic of Korea [Internet]. Seoul: Ministry of Health and Welfare; 2015 [cited 2015 July 19]. Available from: http://www.mers.go.kr/mers/html/jsp/Menu_C/list_C4.jsp?menuIds=&fid=5767&q_type=&q_value=&cid=64325&pageNum=1.
Korea Center for Disease Control and Prevention. Infectious diseases in Korea annual report 2009 [Internet]. Seoul: Korea Center of Disease Control; 2010 [cited 2014 May 20]. Available from: http://www.cdc.go.kr/CDC/intro/CdcKrIntro0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0011&cid=9234.
Lee SA. A study of the health promoting lifestyle, and body composition of university students [Master's thesis]. Kongju: Kongju National University; 2005. p.1-52.
Hoi JS, Yang NY. Perceived knowledge, attitude and compliance with preventive behavior on influenza A (H1N1) by university students. Journal of Korean Academy of Adult Nursing. 2010;22(3):250-259.
Bum GY. TB Patients outbreak in university [Internet]. Seoul: MBN news; 2014 [cited 2014 June 27]. Available from: http://www.mbn.co.kr/pages/vod/programView.mbn?bcastSeqNo=1071337.
Park MW. TB patients outbreak in university of KAIST [Internet]. Seoul: Medical today; 2014 [cited 2014 April 21]. Available from: http://www.mdtoday.co.kr/mdtoday/index.html?no=237890.
Kim OS, Oh JH, Kim KM. Knowledge of and compliance with cough etiquette among nursing and allied health college students. Korean Journal of Nosocomial Infection Control 2012;17(2):61-69.
Centers for Disease Control and Prevention. Respiratory hygiene/cough etiquette in healthcare settings [Internet]. Atlanta: Center of Disease Control; 2012 [cited 2014 May 9]. Available from: http://www.cdc.gov/flu/professionals/infectioncontrol/resphygiene.htm.
Centers for Disease Control and Prevention. Cover your cough [Internet]. Atlanta: Center of Disease Control; 2014 [cited 2014 May 9]. Available from: http://www.cdc.gov/flu/protect/covercough.htm.
Bloomfield SF, Aiello AE, Cookson B, O"Boyle C, Larson EL. The effectiveness of hand hygiene procedures, including handwashing and alcohol-based hand sanitizers, in reducing the risks of infections in home and community settings. American Journal of Infection Control 2007;35(Suppl 1):S27-64.
Barry T, Manning S, Lee MS, Eggleton R, Hamptom S, Kaur J, et al. Respiratory hygiene practices by the public during the 2009 influenza pandemic: an observational study. Influenza and Other Respiratory Viruses. 2011;5(5):317-320.
Berry TD, Fournier AK. Examining university students' sneezing and coughing etiquette. American Journal of Infection Control. 2014;42:317-1318.
PANDORA Australia's web archives. Aussies fed up with poor cough etiquette [Internet]. National Library of Australia and Partners; 2011 [cited 2014 Apr 14]. Available from: http://pandora.nla.gov.au/pan/49429/20111214-0111/www.motherinc.com.au/magazine/everything-for-mum/health-and-fitness/working-mums/775-aussies-fed-up-with-poor-cough-etiquette.html.
Boyce JM, Pitter D. Guideline for hand hygiene in health-care settings. Recommendations of the healthcare infection control practices advisory committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. Morbidity and Mortality Weekly Report: Recommendations and Reports. 2002;51(RR-16):1-56.
Jeong JS, Choi JK, Jeong IS, Paek KR, In HK, Park KD. A nationwide survey on the hand washing behavior and awareness. Journal of Preventive Medicine and Public Health. 2007;40(3):197-204.
Choi JS, Yang NY. Perceived knowledge, attitude and compliance with preventive behavior on influenza A(H1N1) by university students. Journal Korean Academy of Adult Nursing. 2010;22(3):250-259.
Yoon SW, Kim OS. Pregnant women's knowledge and compliance about prevention of respiratory infection. Korean Journal of Nosocomial Infection Control. 2013;18(1):7-14.
Kim OS, Jeon MY, Bang SY. Survey of knowledge and preventive measures against novel influenza during the national novel influenza pandemic outbreak. Korean Journal of Nosocomial Infection Control. 2010:15(2):87-95.
Song KH. The changes of students' health behaviors in the H1N1 flu pandemic [Master's thesis]. Daegu: Kyungpook National University; 2010. p.1-34.
Ajzen I. The theory of planned behavior: Organizational behavior and human decision processes. 1991;50(2):179-211.
Park MK, Ko YS, Park KI. Knowledge and practice level of infection management for child guardians with respiratory infections after H1N1 diffusion 2009. Korean Academy of Child Health Nursing. 2011;17(1):1-9.
Lee DW, Kwon IS. Knowledge and practice of infection prevention by mothers of young children. Journal of Korean Academy of Child Health Nursing. 2009;15(3):306-313.
No HI, Kim M. A comparative study on the relationship between health knowledge to health attitude and health practical heath behaviors among high school students in Seoul. Journal of Korean Society for Heath Education and Promotion. 2004;21(1):115-135.
Spehr K, Curnow R. Are your objectives really about behaviour change? Or are they really about knowledge & attitudes? [Internet]. Community Change: Behaviro Environment Research Education; 2011 [cited 2014 Nov 1]. Available from: http://www.communitychange.com.au/insights-and-tools/21-insights-and-tools/improving-your-program/are-your-objectives-really-about-behaviour-change/12.html.